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Health Security and Emergencies
Ebola Response
13 October 2014
Health Security and Emergencies
Ebola: A Global Health Security Threat
1. Serious situation – no immediate sign that Ebola is under control
2. Risk to our Region – LOW likelihood, but HIGH consequence
3. Action – GLOBAL solidarity and REGIONAL preparedness
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Health Security and Emergencies 3
Ebola Outbreak: Current Situation• Serious situation: > 8300
cases, > 4000 deaths
• HCWs are at high risk - over 400 cases, including over 200 deaths
• Beyond West Africa - A public health emergency of international concern
• Huge needs - requiring massive resources
Health Security and Emergencies
Ebola Response Roadmap
4
GOAL: To stop Ebola transmission in affected countries within 6-9 months and prevent further international spread by…
WHO’S
health
response
GUIDED BY
the
ROADMAP
MAY 2015MAY 2015
Health Security and Emergencies
UNMEER Response Strategy
5
One Team, One Vision: The UN Mission for Ebola Emergency Response (UNMEER) built on 5 Pillars
1STOP THE
OUTBREAK
2TREAT THE INFECTED
3ENSURE
ESSENTIAL SERVICES
4PRESERVE STABILITY
5PREVENT FURTHER
OUTBREAKS
Health Security and Emergencies
Regional Preparedness & Response
Three Action Areas in the WPR:
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1. SUPPORT the global Ebola response in West Africa
2. STRENGTHEN preparedness of the countries and areas in the region to rapidly detect and respond to any Ebola outbreak
3. ENSURE WHO’s system in place for EVD outbreak preparedness and response in the Western Pacific
Health Security and Emergencies
Supporting the global response
Medical and public health personnel (e.g. Global Outbreak Alert and Response Network or GOARN)
Equipment and supplies (e.g. PPE)
Funding support
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Type of support
Health Security and Emergencies
Checking level of preparedness in the Region
• Strengthened IHR core capacities through APSED implementation
• Overall good preparedness for Ebola response, but NOT fully equipped, as evidenced by:– The recent Ebola preparedness
survey results– The Regional Ebola Simulation
Exercise conducted 8-9 Oct
Health Security and Emergencies
Ensuring WHO’s critical functions
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• Ebola situation monitoring and awareness
• Regional risk assessment• A Framework for Action for
preparedness • Technical support to
countries • Regional Ebola simulation
exercise to test readiness
WPRO Emergency Operations Centre (EOC):
Health Security and Emergencies
Risk to the Western Pacific Region
The possibility of imported EVD case(s) is not high, but if it occurs, consequences could be significant
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Secondary transmission
Health impact: Infection of HCWs,
stress on health systems
Beyond health: Reputational
damage to gov’t authorities and economic loss
Potential CONSEQUENCES
Health Security and Emergencies
Monitoring Ebola situation…
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No confirmed cases of EVD to date in WPR
8 countries and areas – have reported investigation of sick travelers from Ebola affected areas, all the “cases” discarded
We must remain vigilant and improve PREPAREDNESS for early detection and rapid response
Health Security and Emergencies
A Framework for Action in the Region
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SIX COMPONENTS1.Command and coordination2.Surveillance, risk assessment and response3.Laboratory4.Clinical management, infection prevention and control5.Public health intervention including points of entry measures 6.Risk communication
SIX COMPONENTS1.Command and coordination2.Surveillance, risk assessment and response3.Laboratory4.Clinical management, infection prevention and control5.Public health intervention including points of entry measures 6.Risk communication
Health Security and Emergencies
Level of preparedness: An online survey
•23 countries submitted a complete questionnaire•Good level of preparedness– Monitoring EVD situation (100%)– National response plan and coordination (95%)– Alerted frontline HCWs (90%)– Risk communication plan (78%)
•Several weak areas of concern: – Conduct country risk assessment (60%)– Specimen referral arrangement with a WHO CC (60%)– Manage returning travellers with Ebola-like symptoms (60%)
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Health Security and Emergencies
Regional Ebola Simulation Exercise• 23 countries participated, 8-
9 Oct• SIMULATION of 1st
imported Ebola case to check level of preparedness– Response plan and protocols – Patient isolation and contact
tracing– IHR reporting– Lab testing - specimen referral
arrangement with a WHO CC – Risk Communication - First
Announcement
14
Health Security and Emergencies
Thank you